Travis Don Green
NELLIE GAIL URGENT CARE MEDICAL CORP


Address: 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626
Phone: 9496001907

Travis Don Green (NPI# 1750710919, PAC ID# 0941431894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1750710919
PAC ID by PECOS 0941431894
Professional Enrollment ID I20180724002881
Full Name Travis Don Green
Organization Legal Name NELLIE GAIL URGENT CARE MEDICAL CORP
Address 27001 Moulton Pkwy
A102
Laguna Hills
CA 92656-3626
Phone Number 9496001907
Gender M
Graduation Year 2013
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7810203999
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626 9496001907 NELLIE GAIL URGENT CARE MEDICAL CORP

Organization Information

Organization Legal Name NELLIE GAIL URGENT CARE MEDICAL CORP
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Mehrdad Salimkhanian Family Medicine Nellie Gail Urgent Care Medical Corp 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626

Office Location

Street Address 27001 MOULTON PKWY
A102
City LAGUNA HILLS
State CA
Zip 92656-3626

Physicians in the same location

Name Specialty Organization Address
Mehrdad Salimkhanian Family Medicine Nellie Gail Urgent Care Medical Corp 27001 Moulton Pkwy, A102, Laguna Hills, CA 92656-3626

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Name Specialty Organization Address
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Terrence Neal Taylor Psychiatry County of Orange 5 Mareblu, Aliso Viejo, CA 92656-3014
Usha Sannidhi Venkata Psychiatry County of Orange 5 Mareblu, Suite 100, Aliso Viejo, CA 92656-3014
Nabi Ghulam Latif Psychiatry County of Orange 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014
Adee Cohen Clinical Social Worker County of Orange 5 Mareblu, Aliso Viejo, CA 92656-3014
Michelle Nicole Menke Clinical Social Worker County of Orange 5 Mareblu, Suite 200, Aliso Viejo, CA 92656-3014
Thomas M Ludema Neurology 15 Mareblu, Suite 250, Aliso Viejo, CA 92656-3015
Veronica C Harrison Family Medicine Southern California Permanente Medical Group 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033
Peter J Kim Family Medicine Southern California Permanente Medical Group 24502 Pacific Park Dr, Aliso Viejo, CA 92656-3033
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Competitor

Search similar physicians

City LAGUNA HILLS
Zip Code 92656
Specialty PHYSICIAN ASSISTANT
City + Specialty LAGUNA HILLS + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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